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Inpatient stay · MS-DRG 551

Medical back problems with MCC

In 2024, Medicare and patients paid an average of $16,215 per stay at 465 hospitals. Half of hospitals averaged between $12,790 and $17,674.

National figures, 2024

Average payment per case
$16,215
Typical range (middle half of hospitals)
$12,790–$17,674
Medicare’s share
$13,31082% of the payment
Average billed charge
$86,481
Hospitals reporting
4658,932 stays

Hospitals in California

Narrow by a state, city or ZIP code (optionally a distance around it), and/or pick specific hospitals. With both, your picks are added to the area’s hospitals.

Location
California
Specific hospitals up to 10
Average payment across these 50 hospitals
$20,804National $16,215 · California $20,804
Median hospital
$17,727
Lowest to highest
$14,034–$41,325
Medicare stays
867

50 hospitals reported at least 11 Medicare stays for this in 2024. Download as CSV

Medicare payments per case for Medical back problems with MCC by hospital, 2024
HospitalCasesAverage paymentvs national averageMedicare paidBilled charge
PIH Health Hospital-WhittierWhittier, CA · CCN 05016912$14,03413% below the national average$12,822$83,046
Scripps Memorial Hospital - EncinitasEncinitas, CA · CCN 05050315$14,57510% below the national average$13,250$61,309
Saint John's Health CenterSanta Monica, CA · CCN 05029011$15,312About average$13,316$69,509
Enloe HealthChico, CA · CCN 05003926$15,427About average$14,109$104,914
Torrance Memorial Medical CenterTorrance, CA · CCN 05035123$15,516About average$14,098$131,886
Providence Mission HospitalMission Viejo, CA · CCN 05056720$15,761About average$14,293$91,175
Pomona Valley Hospital Medical CenterPomona, CA · CCN 05023111$15,782About average$14,467$139,816
Huntington HospitalPasadena, CA · CCN 05043821$16,116About average$14,964$112,764
Oroville HospitalOroville, CA · CCN 05003017$16,120About average$14,968$43,978
Foothill Regional Medical CenterTustin, CA · CCN 05078011$16,392About average$15,427$84,266
Memorial Medical CenterModesto, CA · CCN 05055712$16,575About average$15,623$118,364
Santa Barbara Cottage HospitalSanta Barbara, CA · CCN 05039613$16,651About average$15,539$82,525
Providence Little Company Of Mary Medical Center TorranceTorrance, CA · CCN 05035320$16,682About average$14,409$87,413
Southwest Healthcare Rancho Springs HospitalMurrieta, CA · CCN 05070113$16,745About average$15,269$141,888
Los Angeles Community HospitalLos Angeles, CA · CCN 05066322$16,800About average$15,529$42,147
Doctors Medical CenterModesto, CA · CCN 05046412$16,861About average$15,289$354,893
Providence Saint Joseph Medical CenterBurbank, CA · CCN 05023513$16,886About average$13,804$74,028
Los Robles Hospital & Medical CenterThousand Oaks, CA · CCN 05054926$16,901About average$15,357$179,944
Glendale Adventist Medical CenterGlendale, CA · CCN 05023918$16,997About average$15,585$97,349
Mercy Medical Center ReddingRedding, CA · CCN 05028017$17,009About average$14,849$131,673
Sutter Roseville Medical CenterRoseville, CA · CCN 05030928$17,136About average$15,926$106,396
Scripps Mercy HospitalSan Diego, CA · CCN 05007714$17,244About average$15,809$75,709
Mercy San Juan Medical CenterCarmichael, CA · CCN 05051611$17,627About average$16,262$132,284
Community Hospital Of The Monterey PeninsulaMonterey, CA · CCN 05014516$17,674About average$16,239$99,534
Marian Regional Medical CenterSanta Maria, CA · CCN 05010713$17,712About average$16,525$91,494
Southern California Hospital At HollywoodHollywood, CA · CCN 05013533$17,741About average$16,547$61,612
Centinela Hospital Medical CenterInglewood, CA · CCN 05073914$17,810About average$16,309$62,331
Palomar Health Downtown CampusEscondido, CA · CCN 05011512$17,97711% above the national average$15,536$216,521
Eden Medical CenterCastro Valley, CA · CCN 05048811$18,09712% above the national average$16,903$131,821
Community Regional Medical CenterFresno, CA · CCN 05006015$18,40414% above the national average$16,622$117,549
Northridge Hospital Medical CenterNorthridge, CA · CCN 05011613$18,40814% above the national average$16,565$178,939
Kaweah Health Medical CenterVisalia, CA · CCN 05005711$18,74716% above the national average$16,435$54,055
Riverside Community HospitalRiverside, CA · CCN 05002219$18,84416% above the national average$15,789$160,737
MarinHealth Medical CenterGreenbrae, CA · CCN 05036018$18,96717% above the national average$17,698$199,834
Sharp Memorial HospitalSan Diego, CA · CCN 05010017$20,03324% above the national average$15,216$139,378
John Muir Medical Center - Walnut Creek CampusWalnut Creek, CA · CCN 05018022$20,58927% above the national average$14,661$176,574
Desert Regional Medical CenterPalm Springs, CA · CCN 05024313$21,70834% above the national average$19,337$326,610
Cedars-Sinai Medical CenterLos Angeles, CA · CCN 05062552$22,17737% above the national average$18,319$247,954
Uci Health-OrangeOrange, CA · CCN 05034814$23,14943% above the national average$20,284$110,252
Providence Santa Rosa Memorial HospitalSanta Rosa, CA · CCN 05017418$23,93448% above the national average$17,498$165,263
Dominican HospitalSanta Cruz, CA · CCN 05024212$25,34056% above the national average$23,844$266,305
Uci Health - Fountain ValleyFountain Valley, CA · CCN 05057014$26,10161% above the national average$25,238$290,002
Good Samaritan HospitalSan Jose, CA · CCN 05038011$26,31262% above the national average$25,125$390,338
University Of California Davis Medical CenterSacramento, CA · CCN 05059927$30,79190% above the national average$25,465$200,920
Zuckerberg San Francisco General Hospital & Trauma CenterSan Francisco, CA · CCN 05022811$31,01291% above the national average$28,215$115,423
UCSan Diego Health Hillcrest - Hillcrest Medical CenterSan Diego, CA · CCN 05002514$31,83796% above the national average$21,962$124,666
UCSF Medical CenterSan Francisco, CA · CCN 05045416$33,556107% above the national average$28,305$173,914
Santa Clara Valley Medical CenterSan Jose, CA · CCN 05003818$35,568119% above the national average$33,471$151,974
Scripps Memorial Hospital La JollaLa Jolla, CA · CCN 05032427$36,532125% above the national average$13,885$124,269
Stanford Health CareStanford, CA · CCN 05044120$41,325155% above the national average$25,564$316,547

National trend

Average payment and billed charge per stay, and how many Medicare stays were reported each year.

  • Average payment
  • Average billed charge
2020: 6,052 stays at 336 hospitals · 2021: 6,369 stays at 360 hospitals · 2022: 7,559 stays at 410 hospitals · 2023: 8,452 stays at 450 hospitals · 2024: 8,932 stays at 465 hospitals
View data as a table
National average payment and billed charge for Medical back problems with MCC
Year of careAverage paymentAverage billed charge
2020$14K$66K
2021$15K$73K
2022$16K$77K
2023$16K$81K
2024$16K$86K

By state, 2024

Case-weighted average payment across each state’s reporting hospitals, lowest first.

Show all 49 states
Average payment by state for Medical back problems with MCC, 2024
StateHospitalsCasesAverage paymentTypical range
Vermont112$6,304$6,304–$6,304
Arkansas235$11,548$11,539–$11,586
Mississippi351$11,748$11,409–$11,965
Louisiana225$12,015$11,632–$12,639
Colorado358$12,369$12,295–$12,436
South Dakota112$13,041$13,041–$13,041
Florida45929$13,098$11,914–$13,853
Oklahoma5111$13,345$11,732–$13,360
Iowa5100$13,404$10,770–$12,881
Kansas6144$13,437$11,902–$13,469
Utah235$13,468$12,772–$14,452
Montana113$13,490$13,490–$13,490
Texas34615$13,646$12,066–$15,023
Ohio16298$13,903$12,122–$15,349
Missouri12227$14,234$11,587–$15,860
Idaho120$14,244$14,244–$14,244
Kentucky584$14,367$11,509–$17,394
Michigan15241$14,472$13,724–$15,146
Virginia14260$14,531$11,832–$14,313
Indiana9182$14,538$12,343–$15,080
Arizona8130$14,614$12,180–$15,299
South Carolina7124$14,733$12,128–$16,499
North Dakota240$14,816$14,455–$15,487
Illinois21408$14,955$11,896–$16,347
Pennsylvania23454$14,965$12,898–$16,135
Minnesota12210$15,100$12,774–$15,284
Nevada8146$15,154$13,852–$15,899
West Virginia124$15,415$15,415–$15,415
Delaware147$15,914$15,914–$15,914
Tennessee13272$15,936$12,583–$16,350
Alabama586$16,185$12,075–$22,003
New Hampshire569$16,342$12,484–$15,536
Nebraska365$16,493$14,956–$18,351
New Jersey17313$16,689$15,114–$17,967
North Carolina13232$16,801$12,486–$17,308
New Mexico113$17,054$17,054–$17,054
Washington9139$17,107$13,928–$18,397
Wisconsin593$17,108$12,613–$17,503
Maine123$17,294$17,294–$17,294
Massachusetts19438$17,340$13,660–$19,994
Rhode Island114$17,894$17,894–$17,894
Connecticut6104$18,607$17,236–$19,900
Hawaii126$18,920$18,920–$18,920
District of Columbia117$19,114$19,114–$19,114
Georgia9176$19,572$13,634–$17,501
New York30776$20,711$15,418–$22,670
Oregon224$20,780$18,009–$23,551
California50867$20,804$16,698–$22,060
Maryland9150$25,553$15,998–$34,725

About these numbers

Average payment is what Medicare paid plus the patient’s deductible and coinsurance (and any other insurer), averaged over the hospital’s Medicare cases. It covers the hospital’s part of the care; doctors bill separately. Billed charges are the hospital’s list prices, which few patients pay.

Medicare sets its payments by formula, adjusting for local wages, teaching programs, the share of low-income patients and unusually costly cases. Those adjustments drive most differences between hospitals, so a lower payment doesn’t mean better or worse care, and Medicare patients’ own costs usually vary much less than the totals. Private insurance pays different, usually higher, prices.

Source: CMS Medicare Inpatient Hospitals by Provider and Service (Medicare fee-for-service claims). CMS omits hospitals with fewer than 11 stays. More in the glossary.